Kahla Dennis
Individual provider Active NPI Community Health Worker · Friendly, WV
NPI 1053904169 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1053904169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 69 Oscar Ave
Friendly, WV 26146-9725 - Phone
- (304) 771-4549
- NPI assigned
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
69 Oscar Ave
Friendly, WV 26146-9725
Mailing address
69 Oscar Ave
Friendly, WV 26146-9725
Phone (304) 771-4549
Other providers in Friendly, WV
- Ryan Banta
- David Allen Bennett
- Betty Craven
- Marsha Ann Davis
- Day Angels
- Timothy Harlan Jr.
- Marvin L Wells DO PC
- Marvin Lawrence Wells
All providers in Friendly, WV · Community Health Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.